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1临床资料 患儿男,8岁。因发热1周,于1995年12月13日14:30入院。查体:精神软弱,表情淡漠,轻度贫血貌,T 38.5℃ P 98次/分,R 28次/分BP12/8kPa,听诊呼吸音粗、心律齐,腹平软,肝脾未及。入院后查血肥达氏反应H:1:160,O:1:80,诊断为伤寒。医嘱:Ⅰ级护理,静脉输注先锋霉素V和丁胺卡那霉素等治疗。患儿于19日体温正常,食欲增加。20日上午8:30查房时,患儿诉便秘4天,医嘱0.9％NS50ml低压灌肠,责任护士于上午9时按医嘱执行,上午9:05分患儿突然面色苍白,神志不清,心跳、呼吸骤停,瞳孔等大等圆8mm,对光反射消失,立即给予胸外心脏按压,人工呼吸,迅速建立静脉通路进行心
1 clinical data in children male, 8 years old. Due to fever for 1 week, at 14:30 on December 13, 1995 admission. Physical examination: weak spirit, indifferent expression, mild anemia, T 38.5 ℃ P 98 beats / min, R 28 beats / min BP12 / 8kPa, auscultation of respiratory sounds coarse, heart Qi Qi, abdomen and soft. After admission, check blood fat Darth reaction H: 1: 160, O: 1: 80, diagnosed as typhoid fever. Medical advice: Ⅰ-level nursing, intravenous cephalosporins V and amikacin and other treatment. Children with normal body temperature on the 19th, anorexia. At 8:30 on the 20th morning rounds of check-ups, the patient complained of constipation for 4 days, the doctor ordered 0.9% NS50ml low pressure enema, the responsible nurse at 9 o’clock in the morning as directed by the doctor at 9:05 am suddenly pale, confused, heart rate , Respiratory arrest, pupil and other large round 8mm, disappeared on the light reflection, immediately given extrahepatic cardiac pressure, artificial respiration, the rapid establishment of intravenous access heart